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  5. SCOTT BARNWELL INSURANCE AGENCY, INC.

SCOTT BARNWELL INSURANCE AGENCY, INC.

Company Details

Entity Name: SCOTT BARNWELL INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Jan 2003 (22 years ago)
Document Number: P03000012153
FEI/EIN Number 810594245
Address: 5226 MARINER BOULEVARD, SPRING HILL, FL, 34609
Mail Address: 5226 MARINER BOULEVARD, SPRING HILL, FL, 34609
ZIP code: 34609
County: Hernando
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2023 810594245 2024-05-13 SCOTT BARNWELL INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2022 810594245 2023-05-16 SCOTT BARNWELL INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2023-05-16
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2021 810594245 2022-05-23 SCOTT BARNWELL INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-23
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2020 810594245 2021-05-21 SCOTT BARNWELL INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-21
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2019 810594245 2020-06-04 SCOTT BARNWELL INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2020-06-04
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2018 810594245 2019-06-06 SCOTT BARNWELL INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2017 810594245 2018-06-21 SCOTT BARNWELL INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2016 810594245 2017-06-01 SCOTT BARNWELL INSURANCE AGENCY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-01
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC 401(K) PLAN 2015 810594245 2016-05-18 SCOTT BARNWELL INSURANCE AGENCY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2016-05-18
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
SCOTT BARNWELL INSURANCE AGENCY, INC. 401K PLAN 2014 810594245 2015-03-02 SCOTT BARNWELL INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 3526844545
Plan sponsor’s address 5226 MARINER BLVD., SPRING HILL, FL, 346091630

Signature of
Role Plan administrator
Date 2015-03-02
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-02
Name of individual signing SCOTT BARNWELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BARNWELL SCOTT Agent 5226 MARINER BOULEVARD, SPRING HILL, FL, 34609

President

Name Role Address
BARNWELL SCOTT President 5226 MARINER BOULEVARD, SPRING HILL, FL, 34609

Vice President

Name Role Address
Barnwell Stephanie L Vice President 5226 MARINER BOULEVARD, SPRING HILL, FL, 34609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2005-01-28 5226 MARINER BOULEVARD, SPRING HILL, FL 34609 No data
CHANGE OF MAILING ADDRESS 2005-01-28 5226 MARINER BOULEVARD, SPRING HILL, FL 34609 No data
REGISTERED AGENT ADDRESS CHANGED 2005-01-28 5226 MARINER BOULEVARD, SPRING HILL, FL 34609 No data

Documents

Name Date
ANNUAL REPORT 2025-01-22
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-02-01

Related by officers

BARNWELL SCOTT

SGA OF FLORIDA INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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